Healthcare Provider Details

I. General information

NPI: 1235444951
Provider Name (Legal Business Name): KRISTEN RENEE BELKO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 08/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD
KANSAS CITY KS
66103-2937
US

IV. Provider business mailing address

7638 ASH ST
PRAIRIE VILLAGE KS
66208-4739
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6350
  • Fax: 913-588-5666
Mailing address:
  • Phone: 913-314-8623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number53-75134-031
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: